title: Journey of change and back: a case study of a reconstituted social work service.
abstract: As a result of Total Quality Management and Reengineering principles during the VA's "Journey of Change" in the mid-1990s many hospital social work departments were re-organized under umbrella-care lines. Outcome studies of this movement have focused primarily on patient services. This study focused on the service providers' (including social workers) point of view and their satisfaction with the change in service structure. Data gathering consisted of a master thesis project by one of the co-authors, an administrative in-house survey of staff satisfaction, a qualitative presentation of staff concerns, and the perspective of the administrator who took the decision.
authors.affiliation: San Juan VA Medical Center, San Juan, Puerto Rico. Jaime.Alvelo@va.gov
authors.forename: Jaime
authors.initials: J
authors.lastname: Alvelo
authors.forename: Jerika
authors.initials: J
authors.lastname: Garcia
authors.forename: David
authors.initials: D
authors.lastname: Rosario
mesh_terms: D001291:Attitude of Health Personnel; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D019538:Health Care Surveys; D006284:Health Plan Implementation; D006787:Hospitals, Veterans / Q000458:organization & administration*; D006801:Humans; D019982:Organizational Case Studies; D009936:Organizational Innovation; D015397:Program Evaluation; D012947:Social Work; D012948:Social Work Department, Hospital / Q000458:organization & administration*; D014481:United States; D000078329:Workforce